Postpartum Care Flashcards

What is the expected rate of uterine fundal descent during normal postpartum involution?

Answer: Descends approximately 1 cm (one fingerbreadth) per day

The uterine fundus descends approximately 1 cm (one fingerbreadth) per day, returning to the pelvic cavity by approximately 10–14 days postpartum.

Which description best characterizes normal lochia rubra?

Answer: Dark red discharge containing decidual tissue that may include small clots, lasting 1–4 days

Lochia rubra is dark red, may contain small clots and decidual tissue, and is normal for the first 1–4 days postpartum; large clots or foul odor would be abnormal findings.

Which intervention is most effective in preventing postpartum hemorrhage?

Answer: Active management of the third stage of labor including uterotonics and controlled cord traction

Active management of the third stage of labor — encompassing uterotonic administration, controlled cord traction, and uterine massage — is the evidence-based standard for significantly reducing postpartum hemorrhage.

After repair of a second-degree perineal laceration, which perineal care instruction is most appropriate?

Answer: Use warm sitz baths, keep the perineum clean, and pat dry after voiding

Warm sitz baths, front-to-back wiping, and gentle drying after voiding promote healing and comfort while reducing infection risk following perineal laceration repair.

During the first hour after an uncomplicated vaginal birth, how frequently should the midwife assess maternal vital signs?

Answer: Every 15 minutes

Vital signs should be assessed every 15 minutes during the first postpartum hour to detect early signs of hemorrhage, hemodynamic instability, or other complications.

Which statement best distinguishes postpartum blues from postpartum depression?

Answer: Postpartum blues typically resolves spontaneously within 10–14 days without treatment

Postpartum blues affects up to 80% of new mothers and resolves on its own within 10–14 days; postpartum depression persists beyond this window and may require clinical intervention.

What is the expected timeframe for a postpartum woman to achieve her first spontaneous void after an uncomplicated vaginal delivery?

Answer: Within 6–8 hours of delivery

The first postpartum void should occur within 6–8 hours of delivery; inability to void within this timeframe warrants catheterization to prevent bladder distension.